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Name: |
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Date of Birth: |
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| Address: |
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| Address line2: |
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| City: |
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| State: |
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| Country: |
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| Zip/Postal Code: |
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| Phone Number: |
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| Email Address: |
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| Emergency Contact Name: |
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| Emergency Contact Phone: |
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About You |
| What style of yoga do you practice? |
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| Where? |
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| With whom? |
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| For how long? |
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| How many times a week? |
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| Do you have a home practice? |
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| Do you practice meditation and/or pranayama? |
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| Please tell us about your health: injuries, conditions, illnessess |
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| Please list any medications you are taking |
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| Are you pregnant? |
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| Is this your first teacher training? |
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| Are you currently teaching yoga? |
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If yes, where?
For how long? |
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| In your opinion what embodies a good yoga teacher? |
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| Why do you want to take the joschi teacher training? |
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| What are your expectations of the joschi teacher training? |
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Registration and Credit Card
Authorization Agreement
I understand Joschi Yoga Institute will review my application and
notify me of acceptance as soon as possible. |
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Payment Plan
| Application Date |
Tuition |
Payment Plan |
At least 2 months
prior to start date |
$2,280
SAVE $375 |
$800 on acceptance date
$750 1 month before date
$730 15 days before start date |
At least 1 month
prior to start date |
$2,350
SAVE $305 |
$1,500 on acceptance date
$850 15 days before start date |
At least 10 days
prior to start date |
$2,480
SAVE $175
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on acceptance date
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At least 5 days
prior to start date |
$2,580
SAVE $75
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on acceptance date
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| thereafter |
$2,655
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on acceptance date
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Enjoy FREE UNLIMITED YOGA CLASSES during the duration of your Teacher Training Program! | |
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Credit Card Information |
| Credit Card Type: |
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| Name on Card: |
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| Credit Card Number: |
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| Expiration Date: |
Month
Year |
| Billing Address: |
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| By clicking YES below I authorize Joschi International, Inc.
to initiate credit card debit entries for tuition payment according to the schedule set forth above. I further understand and agree that each payment is non-refundable and yoga teacher training programs are not transferable or exchangeable to other dates. |
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Yes
No |
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